There are many methods of classifying
pelvic organ prolapse. No one system is universally
agreed upon. But the system approved by the International Continence Society,
called the Pelvic Organ Prolapse Quantification system (POPQ), is considered
one standard.1 This system uses a fixed point at the
entrance to the vagina (the hymen) and measures the distance between the
farthest tip of the prolapsed organ and this fixed point. The system also uses
defined points inside the vagina to determine what kind of prolapse has
Your doctor may use one of the many classification
systems to determine the level of an organ's prolapse. Identifying the exact
level of prolapse helps guide decisions about which treatments are most likely
to offer long-term success. The classification-"grade" or "stage"-of a prolapse
is determined many different ways. Ask your doctor to explain how he or she
classifies pelvic organ prolapse.
By Lori Gottlieb
Remember the scene at the end of the first Sex and the City movie, when the fabulous foursome was sitting down to cocktails? Samantha had just left Smith, her gorgeous, adoring boyfriend — whom she loved and who had lovingly supported her through breast cancer — because "I love myself more." That's right: She dumped a keeper using what was arguably the most idiotic grrrl-power proclamation in the history of chick flicks (and there's some formidable competition there). And how did...